Organization
SMITH MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PURSCELL (PRESIDENT)
(800) 552-1216
Entity
Organization
Contact information
Practice address
61 PINE ST STE 401, BRISTOL, VT 05443-1043
(802) 453-2999
(802) 453-4006
Mailing address
99 MAPLE ST STE 19, MIDDLEBURY, VT 05753-1595
(802) 458-3102
(802) 388-0872
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
038.0088708
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166863
PK
—
Enumeration date
01/17/2017
Last updated
04/23/2018
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